Evaluation of "appropriate use criteria" for surgical decision-making in lumbar degenerative spondylolisthesis. A controlled, multicentre, prospective observational study.
Anne F MannionFrancine MariauxPaul M WerthAdam M PearsonJon D LurieTamas F FeketeMarkus KohlerDaniel HaschtmannFrank S KleinstückDezsoe JeszenszkyMarkus LoiblPhilippe OttenMichael NorbergFrançois PorchetPublished in: European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society (2024)
A/U patients receiving surgery had the highest chances of achieving MCIC, but the AUC were not able to identify which patients had a greater treatment effect of surgery relative to non-surgical care. The identification of other characteristics that predict a greater treatment effect of surgery, in addition to baseline COMI, is required to improve decision-making.